CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Medical City Dallas Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $793
  • Cash Discount Price: $3,291
  • vs. Medicare Baseline: 3.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Medical City Dallas Hospital is $793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,291. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.25x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$3,291

Average discount available for prompt cash payment at this facility.

Insurance Median
$793

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $3,291 (1350%)
Insurance Median: $793 (325%)
Cash: $3,291 (1350% of Medicare)
Ins. Median: $793 (325% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 325% of the Medicare baseline (a markup of 225%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texas Health Network $186 76%
Amerigroup $189 78%
Cook Childrens Health Plan $189 78%
Parkland Community Health Plan $189 78%
United $189 - $708 78%
Cigna $198 - $1,810 81%
Aetna $204 - $1,938 84%
Molina $208 - $211 85%
Superior Health Plan $230 94%
Humana $236 - $1,118 97%
UnitedHealthcare $362 - $2,929 149%
Blue Cross Blue Shield $386 - $1,461 158%
Religious Order Of Jehovah Witness $658 270%
Oscar $684 281%
Unicare $790 - $3,291 324%
Healthcare Highways $806 - $1,112 331%
Healthcare Highways Ntx $839 - $1,152 344%
Evry Health $849 348%
Curative Administrators $1,316 540%
Prominence Health Plan $1,316 540%
City Of Mckinney $1,481 608%
Fidelis Securecare $1,481 608%
Emerging Therapy Solutions $1,612 - $2,304 661%
National Choicecare $1,645 675%
Pc Texas Partners $1,810 743%
Physicians Coop Of Tx $1,810 743%
Rockport Health Group $1,810 743%
Texas Instruments $1,843 756%
Averde Health, Inc $1,909 783%
Coastal Comp Health Networks $2,304 945%
Mega Life $2,304 945%
Multiplan Phcs $2,304 945%
Healthsmart Preferred Care $2,336 958%
Lewisville Isd/Dls Consulting $2,468 1012%
Usa Managed Care $2,633 1080%
Usc Health Services $2,633 1080%
Galaxy Health Network $2,797 1147%
Independent Medical Systems $3,291 1350%
National Healthcare Solutions $3,291 1350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals